NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of diabetes mellitus who is experiencing diabetic ketoacidosis (DKA). Which of the following findings would the nurse expect?
Correct Answer: B
Rationale: DKA causes fruity breath odor due to ketone production from fat metabolism. Rapid, deep respirations (not slow,
A) compensate for acidosis, tachycardia/hypotension (not bradycardia,
C) occur, and hyperglycemia (not hypoglycemia,
D) is typical.
Question 2 of 5
A patient is prescribed levothyroxine (Synthroid) for hypothyroidism. Which of the following instructions should the nurse include in the teaching plan?
Correct Answer: C
Rationale: Levothyroxine is best absorbed on an empty stomach, ensuring efficacy. Food or milk reduces absorption, and bedtime dosing is less critical than morning administration.
Extract:
Following a successful treatment from hypothyroidism, the patient is discharged with Synthroid.
Question 3 of 5
Which of the following discharged instruction is inappropriate?
Correct Answer: D
Rationale: Synthroid is best taken in the morning to avoid insomnia, making bedtime administration inappropriate.
Extract:
Question 4 of 5
The nurse notes an abrupt onset of confusion in an elderly patient. Which of the following recently-ordered medications would most likely contribute to this change?
Correct Answer: C
Rationale: Antihistamine. Elderly people are susceptible to the side effect of anticholinergic drugs, such as antihistamines. Antihistamines often cause confusion in the elderly, especially at high doses.
Question 5 of 5
A 42-year-old client comes to the clinic and is diagnosed with shingles. Which findings confirm this diagnosis? Select all that apply:
Correct Answer: A,B,C,D
Rationale: Shingles, also called herpes zoster, is an acute unilateral and segmental inflammation of the dorsal root ganglia. It's caused by infection with the herpes virus varicella-zoster, the same virus that causes chickenpox. It commonly causes severe, deep pain along a peripheral nerve on the trunk of the body and red, nodular skin lesions. Fever and malaise typically accompany these findings. Diarrhea doesn't commonly occur with shingles.